| Hopeway Adolescent Eating Disorder Treatment Program | |
|
4014 Monroe Road Suite 250 Charlotte NC 28205 | |
| (980) 859-2106 | |
| Not Available |
| Full Name | Hopeway Adolescent Eating Disorder Treatment Program |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4014 Monroe Road, Charlotte, North Carolina |
| Authorized Official Name and Position | Alyson R. Kuroski-mazzei (CEO / CMO) |
| Authorized Official Contact | 9808592106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopeway Adolescent Eating Disorder Treatment Program 1717 Sharon Rd W Charlotte NC 28210-5663 Ph: (980) 859-2106 | Hopeway Adolescent Eating Disorder Treatment Program 4014 Monroe Road Suite 250 Charlotte NC 28205 Ph: (980) 859-2106 |
| NPI Number | 1558052308 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558052308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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